Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Joan Clark, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1417391160

Crystal Joan Clark, APRN is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2011, 15 years ago. Practices with Madonna Rehabilitation Hospital, a 91-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
15
Licensed in
NE
In the registry since
2013
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

11930 Arbor St Ste 200
Omaha, NE 68144-2998
Phone: (402) 697-1601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 111457 (NE)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 111457 (NE)

Record details

NPI number1417391160
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 24, 2013
Last updated in NPPESApril 24, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Madonna Rehabilitation Hospital — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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